J ANDREW HALLBERG MD
Controlled Substance Registration for Practitioner


Address: 56 Whitehall Ave, Mystic, CT 06355

J ANDREW HALLBERG MD (Credential# 161328) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.

Business Overview

J ANDREW HALLBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022448. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2007. The expiration date is February 29, 2008. The business address is 56 Whitehall Ave, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name J ANDREW HALLBERG MD
Credential ID 161328
Credential Number CSP.0022448
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 56 Whitehall Ave
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2007-03-01
Expiration Date 2008-02-29
Refresh Date 2009-02-05

Office Location

Street Address 56 WHITEHALL AVE
City MYSTIC
State CT
Zip Code 06355

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Francis G Grace · Franks Gourmet Grille In Mystic 56 Whitehall Ave, Mystic, CT 06355-1978 Restaurant Liquor 2019-05-08 ~ 2020-09-07
Tetyana Y Gudz · Thai One On 56 Whitehall Ave, Mystic, CT 06355-1978 Restaurant Liquor 2014-06-10 ~ 2015-06-09

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Competitor

Search similar business entities

City MYSTIC
Zip Code 06355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MYSTIC

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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